HomeMy WebLinkAbout1011 E 4th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000320 Date 3/24/03
Property Address ...... 1011 E 4TH ST
ASSESSOR PARCEL NL~4BER: 0630007304400000
Application description . . . RE-ROOF
Property Zoning .......
Application valuation .... 3525
Owner Contractor
SOFIE ELVIN R TOPNOTCH ROOFING
1011 E 4T~ ST 1235 W. 9TH
PORT ANGELES WA 983624110 PORT ANGELES WA 98362
(360) 457-0066
Permit ...... BUILDING PEP34IT - NO PR FEE
Additional desc . .
Permit Fee .... 120.75 Plan Check Fee . . .00
Issue Date .... 3/24/03 Valuation .... 3525
E~iration Date . . 9/20/03
Qty Unit Charge Per Extension
BASE FEE 92.75
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
Other Fees ......... STATE SURCF~kRGE 4.50
Fee sun~ary Charged Paid Credited Due
Permit Fee Total 12b.'75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner i~rbuilder) Date
T:~PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 4] ?-4515 FOR I~UILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT1S UNLAWFUL TO COVER,
INSULATE OR CONCEALAN¥ WORh' BEFORE L~,'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I BATE [ YEsACCEPTgB} NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DP. ArNAGE
BUILDING 417-4815 '7~-~-(~;~.~ S{ ~.f BUILDYNG
~ ~ar,~ FOR OFFICIAL USEE~)~LY:
BUILDING PERMIT - APPLICATION
P~it~: -~ ~
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date A~v~:
COMPLETE to be accepted for review. If you have any questions, call
(360) 4174815 ~te ~ssued:
Applicant or Agent: Phone:
.Address:It/I ~ ~7 ~ Ci.:
~chitecffEngineer: Phone:
. Con~actoSO ~ gr)T~t~ ~D ~/?0 G State License ~: ~Fg,~
LEG~ DESC~ON: Lot: Block: Subdivision:
CL~L~ CO~TY P~CEL ~BER:
Credit Card ~older Name: ~ ~ ·
Bil!i~g ~d,~res~: City:,, ;~, . , ,
CredR CardT~e ~SA MC ~ Exp, Date: .
T~E OP WO~: ', .... SI~UATION:
~ Re~nfial ~ ~ New Corem ~ ~e-r0of ~ Sto~e? SF. ~ $ /SF. = $
~ MUlti-fa~ly ~ Addition D Move ~ G~age SF.
~ C~mn[ ~ Rmodel ~ Dmotition ~ Deck "~ SF.
......... ~ ~ Repair . m S~ D Other TOTALVALUA~ON
B~EF DESC~PT1ON OF THE PRo~cT: '. '
CO~RCI~ID~TI~: Occupancy Group: O~up~ Load: Cons~cfian T~e:
Mo. of S~o~es: Lot S~e: ~xist~ Sq. ~t. ~ P~oposed Sq. ~. = TOT~ Sq.FL
~stm~ lot coverage ~ % ~ ~roposed 1o~ eov~age % = To~al lot cove~e %
PL~ USE O~L~: ~L~:
BLDG:
D~U:
~S~e~and(s): ~ Yes ~ ~o S~PA Checklist ~equ~ed? ~ Yes ~ ~o
O~:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be tree and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:XFORMSXAP?S~uildingpermit.wpd Applicant: ~J-I.-F'~ /~9,. Date: ~ / ~ q / () 3
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /2 ,~/,7//~_=~ Time _'~ .'~ Y//~?Received by ~-~//'~'-~-~-~-
Location of Work to be inspected /~// ~ ~*//~
Name of person requesting inspection ~*/~: ~ ~ ~ ~; ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbin~~ewer Excav. Other
Inspected: Date ~'-~ Time / ;~ By ~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel [~Asphalt [~]PCC [~Other
[] Repaired by City Work Order #
EJ Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
. . . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
.~,
..
REQUEST:
Date ,t).-,? </-06
.
Time
3: '(<) tf)1'Y'- Received by
I
Location of Work to be inspected / Qj / E Ljft:.
Name of person requesting inspection lfi-/4e/ tlt ,/.
Address of person requesting inspection J 7tJ 3 ,S G) g sr Phone No. LfI7-'/fSi'f'j
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ CJa Ie /
INSPECTION NOTES:
Inspected: Date ;} -J '/-0&
Remarks:
Time s: uL> il ffI By 7 II
I
"'~"
J/'I- .5et/"I//,'-f?
r e4p.-v
[:,~ L4'liPl.A- f-v meT'e/"
RESTORA TION REQUIRED. . . . .. YES )( NO
l: ~
if\
~ 1;1
'<..~ ~ J0l6 \. ;.' p,/<:. )1 ~
\l"--
~ .- ~
-
~ L! rL ~
~ ~
,,~ ~
~
"" ,l.'c:c. '\J
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt OPCC iXI0ther Tol-5cJ~/
r I
Work Order # 303'16 -{)Cj<(
o COMPLETE
~INCOMPLETE
(Continue on reverse side if necessary)
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